CMS Formulary

Displaying 196641-196650 of 1611142 results.
ID: 196641
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 283077
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196642
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993755
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196643
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197448
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196644
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1923432
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196645
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 578018
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196646
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 477391
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196647
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197877
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196648
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1010739
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196649
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 391937
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196650
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197305
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0